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Michigan rates for HCPCS 52442

Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $1,275.83 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.43 / $781.67 / $1,408.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,087.28 / $8,126.56 / $16,172.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $20.29 / $90.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.91 / $155.18 / $1,389.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $875.60 / $1,408.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.03 / $813.87 / $1,171.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $1,438.00 / $2,449.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.65 / $1,231.73 / $1,566.10